| Entity Name: | PRIME REVIVAL HEALTH & WELLNESS, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 05 Oct 2023 |
| Company Number: | LLC_13633657 |
| File Number: | 13633657 |
| Type of Management: | Manager Managed |
| Date Status Change: | 03 Sep 2024 |
| Address | 404 W BLACKHAWK DR. LL1, BYRON, 61010, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LAURA DICKERSON, 8155 E BERRY VIEW DRIVE, STILLMAN VALLEY, 61084 | Agent | 2023-11-09 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DICKERSON, LAURA, 8155 E BERRY VIEW DRIVE, STILLMAN VALLEY, IL, 61084 | Manager | 2024-09-03 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248004617 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2023-12-28 | 2023-12-28 | 2025-01-01 |
Date of last update: 23 Dec 2024
